Supplier
Raysol Drugs INC
Raysol Drugs INC was paid $58.04 by Medicaid between Dec 2019 and Dec 2019, across 1 billing code. Its largest line is A4259, Lancets, per box of 100 — 100% of everything it billed.
33Billing provider infoRAYSOL DRUGS INC
NEW YORK, NY 10029
NEW YORK, NY 10029
33aNPI1033104195assigned 09/14/2005
33bProvider typeCommunity/Retail Pharmacy
28Total paid$58.04
24GClaims12
24DCodes billed1
24AFirst – last monthDec 2019 – Dec 2019
Compared with peers
Next to other Community/Retail Pharmacy providers in New York
Rank by total paid#114 of 129
Median peer was paid$2K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 12 | $58.04 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4259 | Lancets, per box of 100 | 100% | 12 | 12 | $58.04 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialKIM, MOON (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Koryo Health Foundaton | Los Angeles, CA | $1.30M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.